Organization
SUPERIOR PHYSICAL THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ZACHARY H BALL MPT (OWNER, PHYSICAL THERAPIST)
(417) 300-3651
Entity
Organization
Contact information
Practice address
841 E COUNTRY RIDGE ST, NIXA, MO 65714-7668
(417) 300-3651
Mailing address
841 E COUNTRY RIDGE ST, NIXA, MO 65714-7668
(417) 300-3651
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2007026036
MO
Other
Enumeration date
09/02/2011
Last updated
09/02/2011
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